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Are Psychiatric Disorders Inflammatory-Based Conditions?A plethora of studies support the hypothesis that inflammation plays a role in the pathophysiology of major psychiatric disorders.
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Juvenile Huntington Disease: Rare But With Psychiatric ImplicationsWhile most clinicians know about Huntington disease, they may not be aware of its devastating effect in cognition and behavior during onset in childhood and adolescence.
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Neuropsychiatric Sequelae of Stroke: Issues and Implications for CliniciansThis review focuses on post-stroke depression, apathy, anxiety, and PTSD, because these disorders occur and have been studied most frequently.
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Childhood Adversities Associated With Risk for Suicidal BehaviorChildhood adversities associated with suicide risk include childhood maltreatment, problematic family relationships, socioeconomic hardship, and difficult relationships with peers. Acute suicide prevention strategies should focus on the treatment of contributory psychiatric disorders and on the crises that may precipitate suicidal behavior.
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Cannabis Use in Young Adults: Challenges During the Transition to AdulthoodFor all its popular appeal, the science that has emerged on cannabis use does not look good--especially for the teenage brain.
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Introduction: Why Does Psychiatry Need the Humanities?Bringing the arts and humanities to psychiatry requires bringing these areas of study into our education, our research and our practice models.
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Mini Quiz: Physical Assault in the Clinical SettingVerbal de-escalation involves validating a patient’s experience, establishing a collaborative relationship, and finding solutions to ensure the patient’s needs are met. More in this quiz.
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DailyDx: Can You Identify These Fetal Cardiac Structures?This is an ultrasound image and echocardiogram of a 28 week old fetus.
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Interventions for Perpetrators of Intimate Partner ViolenceSubstantial progress has been made in the development of etiologic models of intimate partner violence and interventions for individuals who assault their intimate partners. These authors provide details.
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Neurofeedback: Significance for PsychiatryThis article provides an overview of the role of neurofeedback as an intervention to target symptoms associated with psychiatric disorders.
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Borderline Personality Disorder and Complex Posttraumatic Stress Disorder: Myths in DiagnosisIs the complex posttraumatic stress disorder diagnosis being used to avoid the diagnosis of borderline personality disorder?
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Mini Quiz: Effects of Lead Exposure on ChildrenWhat potential clinical and medical effects of lead exposure remain today?
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End-of-Life Care for Patients With Psychiatric DisordersIn this CME article, learn how best to provide end-of-life care to patients with psychiatric disorders.
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Undecidable Choices and the Polarization of Shared Ambivalence: What Can Psychiatry Add to Dispute Resolution?Reframing is being tested as a potentially viable way to address intractable conflict where sacred values are at issue. In memory of Johan Verhulst, MD.
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Mental Health as a Role in Mortality Rates in Peri- and Postpartum Black WomenBlack mothers in the US experience far worse outcomes. Here’s what clinicians need to know.
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Is Redefinition of Psychiatry Underway?Over the past decade, cost containment efforts have pushed psychotherapy patients away from psychiatrists and toward the offices of psychologists, therapists and other less expensive mental health workers. The availability of new drug treatments for psychiatric disorders has shifted many psychiatrists' practices away from a long-term therapeutic focus to that of short-term drug treatment. If psychiatry merely reacts to these economic and political forces, rather than managing them with a plan, the future of the field is highly uncertain.
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Evolving Potential of Mobile Psychiatry: Current Barriers and Future SolutionsHow will mobile mental health technologies change the nature of the psychiatrist-patient relationship? And do these technologies truly deliver what they promise?
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What is the Market Rate for My Specialty?The good news is that several resources provide guidance regarding market compensation. Here’s how that information will help you.
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Psychiatry and Chronic PainAlthough acute pain typically resolves on its own with little need for intervention, for some persons pain persists past the point where it is considered an adaptive reaction to injury.
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4 Myths About Assisted Outpatient TreatmentAfter lounging on the doorstep of respectability for the past decade, assisted outpatient treatment is here to stay. But some still balk at the notion.
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Neuroanatomic AbnormalitiesThe first magnetic resonance imaging studies in schizophrenia began to appear in the literature in 1984. These studies confirmed earlier theories and also contributed new findings such as changes in size of the hippocampus, amygdala, corpus callosum and so on in patients with schizophrenia. What other neuroimaging techniques are being used? What do recent studies show regarding the neuroanatomic abnormalities found in patients with schizophrenia?
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New Risks to Confidentiality in the Modern EraWhile this article highlights some of the modern-era risks to confidentiality that psychiatrists may experience, it does not constitute an exhaustive list of issues to consider and is not a substitute for legal advice.
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Advances and AchievementsWith the increase in child and adolescent patients comes an increase in challenging cases. Dr. Schowalter introduces this Child and Adolescent Psychiatry Special Report and provides perspective on articles discussing approaches to initiating care with a teen-ager, collaborating with pediatricians and other clinical topics.
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The Complex Issue of Attachment DisordersAttachment may be defined as a composite of behaviors in an infant, toddler, or young child that is designed to achieve physical and emotional closeness to a mother or preferred caregiver when the child seeks comfort, support, nurturance, or protection.
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Cognitive-Behavioral Therapy for Adolescent DepressionProcesses of Cognitive ChangeThe substantial and often recurrent distress and impairment associated with major depressive disorder (MDD) in youth has prompted increased interest in the identification and dissemination of effective treatment models. Evidence supports the use of several antidepressant medications, specific psychotherapies, and, in the largest treatment study of depressed teenagers, the combination of fluoxetine and cognitive-behavioral therapy (CBT) as effective treatments.1-3 CBT is the most extensively tested psychosocial treatment for MDD in youth, with evidence from reviews and meta-analyses that supports its effectiveness in that population.3-5
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Treatment Resistance in a Woman With Borderline Personality DisorderPatients with borderline personality disorder or narcissistic personality disorder (or both) can feel entitled to special treatment and often seek only approving forms of attention from those who treat them.
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Psychiatric Issues for Patients With Renal DiseaseCurrently, there are 350,000 Americans who receive maintenance dialysis for renal failure, and this predominantly elderly population with multiple comorbidities is growing.
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Addiction Is a DiseaseAddiction-as-disease or addiction-as-choice may be better defined by delineating initial experimentation with addictive drugs from ongoing drug use. Repeated exposure to addictive substances changes the molecules and neurochemistry of the addict. Addiction-as-disease accepts the responsibility of the health care professional to treat the patient and precludes the stigmatization that addiction is a choice.
